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陈××,26岁。因停经80天,下腹部坠痛7小时来院,末次月经1984年2月2日。4月21日9时起无明显诱因,突然下腹部坠痛,伴恶心、呕吐,3小时后腹痛进行性加重,晕厥一次,无阴道出血,16时急诊入院。既往月经正常,婚后4个月。查体:T35℃。P68次/分,R18次/分,BP40/0mmHg,贫血貌,心肺正常.腹部稍隆起,肌紧张(+),下腹部有明显压痛及反跳痛,移动性浊音(+)。妇科检查:阴道无血性分泌物,宫颈圆锥状,呈紫蓝色,举痛明显,后穹窿饱满,触痛(+).子宫前位,鹅卵大小,质
Chen × ×, 26 years old. Due to menopause 80 days, pain in the lower abdomen 7 hours to hospital, the last menstrual February 2, 1984. At 21:00 on April 21 no obvious incentive, suddenly a pain in the lower abdomen, with nausea and vomiting, abdominal pain after 3 hours of progressive aggravating, syncope once, no vaginal bleeding, emergency room admission at 16:00. Past menstrual normal, 4 months after marriage. Physical examination: T35 ℃. P68 beats / min, R18 beats / min, BP40 / 0mmHg, anemic appearance, normal cardiopulmonary. Abdominal slightly elevated, muscle tension (+), lower abdominal tenderness and rebound tenderness, shifting dullness (+). Gynecological examination: vaginal bloody discharge, cervical conical, was purple blue, pain was obvious, after the dome full, tenderness (+). Anterior uterus, size of the goose, quality